ke/sb/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzl lmn / M / 27 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Posterior fossa and upper Cervical Spine.

CLINICAL PROFILE :

C/O pain in the nape of the neck on the right side with swelling over right side of face upto shoulder with burning sensation since 1 year. Also C/O heaviness of the head on the right side.
H/O tonsilitis 1 year back.

EXAMINATION :

M.R.I of the posterior fossa and upper cervical spine was performed using the following parameters :

5 mm thick T1 Weighted sagittal images.
5 mm thick T2 Weighted axial images.
3 mm thick T1 Weighted and T2 Weighted coronal images through the region of interest.
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.

OBSERVATION :

There is no focal area of altered signal intensity in the brain parenchyma.

The ventricular system and the basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

The seventh and eighth cranial nerve complex on either side is unremarkable.

Incidental note is made of left maxillary polyp.
- 2 - scan-00000

Small posterior disc bulges are noted at the C4-C5 and C5-C6 levels.

The C4-C5, C5-C6 and C6-C7 intervertebral discs show loss of water contnet.

The cervical vertebral bodies and the remaining intervertebral discs show normal signal intensity. The joints of Luschka and the visualized pre and paravertebral soft tissues are unremarkable.

The cervical spinal cord reveals normal signal intensity.

The atlanto-axial region and the cervico-medullary junction are unremarkable.

IMPRESSION :

No significant abnormality is detected on this study.